Health Condition 1: S069- Unspecified intracranial injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with isolated moderate to severe TBI (GCS 6-12) 2.Rotterdam score 3 and above 3.ASA IE, IIE, IIIE 4.Presentation to hospital within 24 hours of injury 5.Consent for participation in the study from legal heir
Exclusion criteria
Exclusion criteria: 1.Patients with hemoglobinopathies, deranged coagulation parameters. 2.Preoperative hemodynamically unstable patients requiring vasopressors / inotropes, polytrauma. 3.Pregnant patients 4.Patients with chronic liver disease, renal disease and decompensated heart failure 5.History of emergency tracheostomy 6. Anatomical deformity of the neck 7.Refusal to participate in the study 8. Severe respiratory distress with refractory hypoxemia and hypercapnia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration taken to wean off from mechanical ventilator in terms of number of daysTimepoint: From the day of intubation to the day patient is free from ventilator. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Incidence of VAP (ventilator associated pneumonia) 2.Incidence of tracheostomy related complication 3.Amount of sedation required after tracheostomy till 3 days from tracheostomy 4.Complications in ICU such as deep vein thrombosis, Decubitus ulcer, sepsis, etc 5.Length of ICU stay. 6.Length of hospital stay. 7.GOSE at discharge and at1 month. 8.In hospital mortality and mortality at 1 monthTimepoint: From the day of tracheostomy to 1 month from the day of discharge. | — |
Countries
India
Contacts
Post Graduate Institute of Medical Education and Research